| Abd paracentesis w/imaging (49083) |
— |
$6,696.98 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$72,842.09 |
— |
| Acne surgery (10040) |
— |
$70,182.28 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$17,025.60 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$39,984.23 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$39,984.23 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$39,984.23 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$128,738.61 |
— |
| Amputation foot transmetarsal (28805) |
— |
$28,398.93 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$28,646.03 |
— |
| Amputation thigh through femur any level (27590) |
— |
$128,738.61 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$13,568.88 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$15,678.39 |
— |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
— |
$62,000.53 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$119,177.86 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$119,177.86 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$119,177.86 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$119,177.86 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$119,177.86 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$128,738.61 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$128,738.61 |
— |
| Ankle Arthroscopy/Surgery (29892) |
— |
$50,585.92 |
— |
| Anoscopy diagnostic (46600) |
— |
$42,652.29 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$42,652.29 |
— |
| Appendectomy (44950) |
— |
$82,324.26 |
— |
| Application finger splint static (29130) |
— |
$473.90 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$597.66 |
— |
| Application Long Leg Splint (29505) |
— |
$597.66 |
— |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
— |
$96,310.99 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$39,154.69 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$473.90 |
— |
| Application short leg splint calf foot (29515) |
— |
$597.66 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$976.88 |
— |
| Arterial puncture (36600) |
— |
$234.21 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$26,218.87 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$29,973.69 |
— |
| Artery-vein autograft (36825) |
— |
$108,510.55 |
— |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
— |
$117,914.09 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$167,876.12 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$52,290.96 |
— |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines |
— |
$68,639.54–$73,077.82 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$48,753.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$48,753.15 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$3,741.80 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$27,620.67 |
— |
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines |
— |
$23,742.02–$27,530.34 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$51,357.03–$56,422.40 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$272,847.23 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$377,076.86 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
— |
$197,612.42 |
— |
| Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) |
— |
$178,503.41 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
— |
$182,744.27 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
— |
$182,744.27 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) |
— |
$197,612.42 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
— |
$197,612.42 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
— |
$197,612.42 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
— |
$377,076.86 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$109,289.60 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$97,142.61 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$23,651.29 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$45,073.33 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$39,562.78 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$97,142.61 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines |
— |
$37,938.03–$67,103.76 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$90,256.82 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$45,125–$63,468.42 |
— |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
— |
$40,806.92 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$281,223.53 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$78,748.47 |
— |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines |
— |
$76,208.89–$162,465.85 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$67,103.76 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$84,378.84 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$22,248.70 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$97,142.61 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$23,378.31 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$281,223.53 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$131,624.74 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$15,553.69 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,862.96 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$61,823.88 |
— |
| Av fistula revision (36833) |
— |
$126,556.51 |
— |
| Av Fistula Revision Open (36832) |
— |
$21,582.78 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$26,222.84 |
— |
| Av fusion/forearm vein (36820) |
— |
$108,510.55 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$16,892.63 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$95,159.31 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,318.16 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$48,616.29 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$6,338.74 |
— |
| Biopsy of rectum (45100) |
— |
$34,364.59 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$61,698.88 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$92,789.55 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$21,600.32 |
— |
| Bladder Scan (51798) |
— |
$276.77 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,106.07 |
— |
| Blood Transfusion Service (36430) |
— |
$53,675.98 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$113,576.24 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$52,290.96 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$52,290.96 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$52,290.96 |
— |
| Bone Marrow Biopsy (38221) |
— |
$12,546.56 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$115,286.09 |
— |
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines |
— |
$8,344.91–$8,363.71 |
— |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
— |
$7,991–$8,076.88 |
— |
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines |
— |
$22,853.19–$53,077.80 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$34,806.75 |
— |
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 3 matching MRF lines |
— |
$35,107.64–$47,923.61 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$63,257.96 |
— |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
— |
$14,972.33 |
— |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
— |
$51,383.73 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$15,606.41 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$40,995.58 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$717.59 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$12,746.29 |
— |
| Cerv artific diskectomy (22856) |
— |
$109,972.34 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$95,815.74 |
— |
| Chemical Cautery Tissue (17250) |
— |
$2,947.50 |
— |
| Chest tube placement (32551) |
— |
$2,221.35 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$56,040.19 |
— |
| Circumcision 28 days or older (54161) |
— |
$21,806.44 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$23,200.88 |
— |
| Claviculectomy partial (23120) |
— |
$19,990.41 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$36,061.82 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$39,154.69 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$38,275.43 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$872.83 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$44,986.70 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$39,154.69 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines |
— |
$11,004.53–$11,018.30 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$52,921.34 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$26,418.12 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$5,894.04 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$36,061.82 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$36,061.82 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$872.83 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$52,921.34 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$52,921.34 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$15,852.18 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$36,061.82 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$23,200.88 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$23,200.88 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$872.83 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$14,340.73 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$78.88 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$3,100.62 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$50,405.84 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$50,405.84 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$47,115.50 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$53,615.21 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$47,115.50 |
— |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
— |
$52,388.72 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$43,127.24 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$52,388.72 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$5,022.46 |
— |
| Colonoscopy thru stoma (44388) |
— |
$6,704.24 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$5,278.33 |
— |
| Colonoscopy w/ablation (45388) |
— |
$7,593.71 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$42,652.29 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$52,388.72 |
— |
| Colonoscopy W/Resection (45390) |
— |
$8,633.42 |
— |
| Colonoscopy w/stent plcmt (45389) |
— |
$56,068.20 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$7,727.78 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$21,127.83 |
— |
| Colporrhaphy (57200) |
— |
$18,714.82 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$11,389.14 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$16,201.27 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$10,444.83 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$10,292.43 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$6,443.81 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$45,357.75 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$32,496.24 |
— |
| Complex drainage wound (10180) |
— |
$15,279.61 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$12,006.45 |
— |
| Conization of cervix (57520) |
— |
$13,060.89 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$88,599.95 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
— |
$11,882.15–$14,207.59 |
— |
Correction hammertoe (28285)
range across 2 matching MRF lines |
— |
$29,169.34–$37,627.46 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$29,180.04 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$35,743.18 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$47,825.60 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$21,038.03 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$52,290.96 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$38,163.81 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$108,510.55 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$473.90 |
— |
| Curettage postpartum (59160) |
— |
$18,426.18 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$11,493.15 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$25,282.26 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$20,874.02 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$25,282.26 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$16,085.51 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$21,516.13 |
— |
| Cysto w/up stricture tx (52342) |
— |
$56,052.63 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$56,052.63 |
— |
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines |
— |
$15,614.76–$19,436.25 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$35,816.64 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$19,259.62 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$26,730.79 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$42,983.32 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$56,052.63 |
— |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
— |
$66,396.92 |
— |
| Cystoscopy implant stent (52282) |
— |
$38,608.92 |
— |
| Cystouretero w/renal strict (52346) |
— |
$56,052.63 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$56,052.63 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$16,757.50 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$38,608.92 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$15,918.65 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$18,856 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$9,234.18 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$23,225.61 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$14,047.29 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$22,197.45 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$56,052.63 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$100,236.28 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$41,449.44 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$16,167.32 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$21,323.59 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$11,589.48 |
— |
| Declot vascular device (36593) |
— |
$1,155.02 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$38,922.02 |
— |
Decompression of tibia nerve (28035)
range across 2 matching MRF lines |
— |
$19,829.29–$46,869.22 |
— |
| Delivery of placenta (59414) |
— |
$22,806.42 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$18,757.62 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$9,503.30 |
— |
| Diagnostic anoscopy (46601) |
— |
$42,652.29 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$24,005.04 |
— |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
— |
$38,608.92 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$54,437.02 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$5,103.97 |
— |
| Dilate Urethra Stricture (53620) |
— |
$38,608.92 |
— |
| Dilate Urethra Stricture (53600) |
— |
$38,608.92 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$23,993.31 |
— |
| Dilation And Curettage Of Cervical Stump (57558) |
— |
$86,264.11 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$24,680.30 |
— |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
— |
$38,608.92 |
— |
| Disarticulation At Knee (27598) |
— |
$95,337.83 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$3,575.18 |
— |
| Drainage of finger abscess simple (26010) |
— |
$2,476.50 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$9,489.01 |
— |
| Drainage of nose lesion (30000) |
— |
$2,856.54 |
— |
| Drainage of rectal abscess (45020) |
— |
$45,580.70 |
— |
| Drainage of rectal abscess (45005) |
— |
$27,841.28 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$28,640.17 |
— |
| Drainage of scrotum (54700) |
— |
$28,640.17 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$242.99 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$3,535.85 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$18,280.05 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$28,823.41 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$82,736.13 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$39,242.90 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$6,660.42 |
— |
| Egd cautery tumor polyp (43250) |
— |
$37,570.76 |
— |
| Egd control bleeding any (43255) |
— |
$9,014.36 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$4,046.91 |
— |
| Egd endo mucosal resection (43254) |
— |
$35,454.91 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$35,019.19 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$11,419.04 |
— |
| Egd guide wire insertion (43248) |
— |
$3,864.82 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$36,775.51 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$39,489.73 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$39,489.73 |
— |
| Egd lesion ablation (43270) |
— |
$38,186.60 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$39,489.73 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$36,982.88 |
— |
| Egd place gastrostomy tube (43246) |
— |
$42,771.34 |
— |
| Egd remove lesion snare (43251) |
— |
$7,905.68 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$39,489.73 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$39,489.73 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$35,468.71 |
— |
| Egd Varices Ligation (43244) |
— |
$7,840.37 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$35,468.71 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$35,468.71 |
— |
| Embedded ip cath exit-site (49436) |
— |
$72,721.64 |
— |
| Endocervical curettage (57505) |
— |
$86,264.11 |
— |
Endoscopic plantar fasciotomy (29893)
range across 3 matching MRF lines |
— |
$11,207.37–$35,207.61 |
— |
| Endoscopic us exam esoph (43237) |
— |
$17,542.50 |
— |
| Endoscopy of ureter (50953) |
— |
$56,052.63 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$4,942.30 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$8,024.02 |
— |
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 4 matching MRF lines |
— |
$24,468.91–$27,952.80 |
— |
Endoven ther chem adhes 1st (36482)
range across 3 matching MRF lines |
— |
$29,115.52–$39,886.45 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$43,667.52 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$42,367.37 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$39,007.60 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$31,692.85 |
— |
Epididymectomy unilateral (54860)
range across 2 matching MRF lines |
— |
$18,415.43–$18,592.55 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$105,236.41 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$42,058.71 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$7,352.13 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$24,680.30 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$42,058.71 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$42,058.71 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$24,680.30 |
— |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
— |
$35,137.52 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
— |
$35,137.52 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$24,680.30 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$42,058.71 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$42,243.63 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$42,058.71 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$42,058.71 |
— |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
— |
$32,844.02 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$38,794.87 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$24,680.30 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$24,176.98 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$42,058.71 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$42,058.71 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$42,243.63 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$24,176.98 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$38,794.87 |
— |
| Evacuate mole of uterus (59870) |
— |
$14,539.17 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$60,590.79 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$13,537.58 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$12,124.41 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$93,449.92 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$125,994.63 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$26,382.69 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$19,082.84 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$26,317.90 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$14,163.72 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$41,133.48 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$41,133.48 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$94,230.38 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$93,449.92 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$17,287.86 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$60,590.79 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$19,298.58 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$15,239.39 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$310,200.49 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$32,459.98 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$32,459.98 |
— |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
— |
$32,459.98 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$17,206.83 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$13,985.58 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$18,755.81 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$6,765.96 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$23,269.28 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$16,332.15 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$34,806.75 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$15,776.48 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$15,332.72 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$84,343.91 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$15,937.89 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$16,780.77 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$25,134.61 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$20,157.48 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$58,622.71 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$12,322.99 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$41,449.44 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$84,343.91 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$84,343.91 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$29,161.36 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$10,574.21 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$22,089.57 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$37,748.64 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$16,191.94 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$13,058.30 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$106,903.67 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$32,459.98 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$16,148.68 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$101,160.88 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$100,287.55 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$106,903.67 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$106,903.67 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$13,148.51 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$12,791.83 |
— |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
— |
$36,810.39 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$52,290.96 |
— |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
— |
$41,133.48 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$41,133.48 |
— |
Excision of hydrocele; unilateral (55040)
range across 3 matching MRF lines |
— |
$20,235.89–$30,935.79 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$19,113.54 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$10,596.42 |
— |
| Excision of vaginal septum (57130) |
— |
$14,517.23 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$52,290.96 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$22,592.87 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$18,136.58 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$52,724.28 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$41,133.48 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$41,133.48 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$15,106.22 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$13,087.52 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$25,951.20 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$23,910.87 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$84,343.91 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$11,872.90 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$105,236.41 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$105,236.41 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$114,194.58 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$114,194.58 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$114,194.58 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$11,180.50 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$17,027.34 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$105,156.73 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$52,724.28 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$96,409.11 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$57,197.11 |
— |
| Exploration of hip joint (27033) |
— |
$40,806.92 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$11,835.62 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$38,475.26 |
— |
| Fasciectomy Palm Only (26121) |
— |
$60,590.79 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$92,101.78 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$16,974.31 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$16,141.66 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$14,779.45 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$60,590.79 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$7,578.48 |
— |
| Fetal non-stress test (59025) |
— |
$683.09 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$4,099.14 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$52,290.96 |
— |
Fusion of foot bones (28740)
range across 3 matching MRF lines |
— |
$41,070.62–$48,042.93 |
— |
| Gastrocnemius recession (27687) |
— |
$19,735.94 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$36,508.95 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$97,598.44 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$138,954.02 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$13,242.42 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$17,165.36 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$18,402.35 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$19,408.78 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$24,760.87 |
— |
| I&d abscess peritonsillar (42700) |
— |
$895.74 |
— |
| I&d abscess simple (10060) |
— |
$11,421.87 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$45,580.70 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$64,245.05 |
— |
| I&d perianal abscess superficial (46050) |
— |
$15,433.63 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$37,648.05 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$37,648.05 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$7,883.65 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$6,893.08 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$113,576.24 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$9,178.75 |
— |
| Incise finger tendon sheath (26055) |
— |
$10,461.33 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$3,250.76 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$83,122.90 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$12,119.08 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$16,148.68 |
— |
| Incision of rectal abscess (46040) |
— |
$14,305.01 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$10,023.01 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$2,108.42 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$160,900.20 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$89,429.36 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$237,324.70 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$30,866.91 |
— |
| Insert cath pleura w/ image (32557) |
— |
$10,285.64 |
— |
| Insert cath pleura w/o image (32556) |
— |
$33,639.11 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$66,765.71 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$61,866.67 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$59,238.01 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$39,447.63 |
— |
| Insert pulse gen dual leads (33213) |
— |
$140,655.68 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$470.17 |
— |
| Insert tunneled cv cath (36561) |
— |
$27,772.09 |
— |
| Insert tunneled cv cath (36563) |
— |
$70,699.26 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$70,359.74 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$351.19 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$33,639.11 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
— |
$371,487.25 |
— |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
— |
$108,510.55 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$39,447.63 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$36,063 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$39,447.63 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$39,447.63 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$39,447.63 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$5,182.59 |
— |
| Insj Stablj Dev W/Dcmprn (22867) |
— |
$238,104.02 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$70,699.26 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$83,079.51 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$83,079.51 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$9,359.19 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$192,282.49 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$17,849.83 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$87,206.03 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$237,324.70 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$237,324.70 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$237,324.70 |
— |
| Intro cath dialysis circuit (36901) |
— |
$25,471.28 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$39,421.62 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$21,428.80 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$895.74 |
— |
| Kidney endoscopy (50553) |
— |
$56,052.63 |
— |
| Kidney endoscopy (50551) |
— |
$56,052.63 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$30,092.28 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$97,142.61 |
— |
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines |
— |
$51,887.56–$59,256.51 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
— |
$88,360.36 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$85,872.22 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
— |
$89,492.39 |
— |
| Laminotomy Single Lumbar (63042) |
— |
$54,377.76 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$24,528.54 |
— |
| Lap paraesophag hern repair (43281) |
— |
$72,814.45 |
— |
| Lap replace gastr adj device (43773) |
— |
$35,468.71 |
— |
| Lap revision perm ip cath (49325) |
— |
$24,128.13 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$40,641.96 |
— |
Laparoscopy aspiration (49322)
range across 3 matching MRF lines |
— |
$21,462.81–$33,253.61 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$282,334.27 |
— |
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines |
— |
$19,153.47–$21,153.64 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$35,468.71 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$42,625.42 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$32,610.13 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$46,355.21 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$46,949.72 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$22,066.84 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$43,116.52 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$40,063.96 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$35,468.71 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$35,468.71 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$40,063.96 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$51,056.26 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
— |
$39,469.35 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$62,340.29 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$81,217.30 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$57,230.19 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$32,153.95 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$16,740.43 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$27,667.18 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$27,588.49 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$35,468.71 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$61,908.49 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$47,623.49 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$115,286.09 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$115,286.09 |
— |
| Late closure of wound (13160) |
— |
$52,724.28 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$84,343.91 |
— |
| Ligate leg veins open (37761) |
— |
$84,343.91 |
— |
Ligation of a-v fistula (37607)
range across 2 matching MRF lines |
— |
$20,710.95–$34,583.79 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$15,822.97 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$40,407.96 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$18,773.87 |
— |
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines |
— |
$26,309.06–$27,010.18 |
— |
| Low Back Disk Surgery (63030) |
— |
$50,005.99 |
— |
| Lumbar spine fusion combined (22633) |
— |
$272,847.23 |
— |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines |
— |
$8,665.56–$20,141.77 |
— |
| Mast mod rad (19307) |
— |
$56,034.86 |
— |
Mastectomy partial (19301)
range across 2 matching MRF lines |
— |
$24,596.66–$48,798.56 |
— |
| Mastectomy simple complete (19303) |
— |
$56,034.86 |
— |
| Maternity Care Procedure (59899) |
— |
$33,708.70 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$120,037.83 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$120,037.83 |
— |
| Metatarsectomy (28140) |
— |
$52,290.96 |
— |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
— |
$90,256.82 |
— |
| Myelography Lumbar Injection (62305) |
— |
$17,475.48 |
— |
| Myelography Lumbar Injection (62304) |
— |
$10,417.68 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$28,823.41 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$4,602.61 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$43,667.52 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$8,046.51 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines |
— |
$16,752.59–$20,249.13 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$133,762.66 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,249.30 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,623.18 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$6,545.06 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$4,025.82 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$3,310.43 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$71,674.22 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
— |
$62,316.53–$65,363.62 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$110,850.26 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$92,091.32 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$92,557.53 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$348,112.68 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$47,056.61 |
— |
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines |
— |
$40,344.85–$78,488.81 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$100,236.28 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$53,466.92 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$110,431.13 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$77,681.72 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$72,953.03 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$72,953.03 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$110,431.13 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$115,539.99 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$92,557.53 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$100,663.29 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$71,674.22 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$71,674.22 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$77,681.72 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$77,681.72 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$77,681.72 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$78,103.65 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$100,236.28 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$71,674.22 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$47,880.38 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$115,539.99 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$191,243.68 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$15,290.33 |
— |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines |
— |
$44,173.36–$47,093.47 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$47,093.47 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$110,431.13 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$110,431.13 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$22,763.59 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$191,243.68 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$191,243.68 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$92,091.32 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$92,091.32 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$71,674.22 |
— |
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines |
— |
$68,862.13–$109,996.60 |
— |
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines |
— |
$54,258.92–$170,161 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$71,674.22 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$92,557.53 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$191,243.68 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$92,091.32 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$110,850.26 |
— |
| Orchiectomy partial (54522) |
— |
$32,610.13 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$32,610.13 |
— |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
— |
$32,610.13 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$52,290.96 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$16,191.94 |
— |
Ostectomy calcaneus (28118)
range across 2 matching MRF lines |
— |
$53,345.77–$55,584.78 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$52,290.96 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$21,889.67 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$52,290.96 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$34,348.83 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$99,223.55 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$23,742.02 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$52,290.96 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$42,157.43 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
— |
$117,756.58 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$77,681.72 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$105,077.11 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$52,290.96 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$70,430.37 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$96,275.81 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$16,191.72 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$12,217.84 |
— |
| Partial removal of tongue (41120) |
— |
$32,459.98 |
— |
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines |
— |
$15,388–$16,892.63 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$170,161 |
— |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
— |
$14,471.50 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$23,098.10 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$20,417.68 |
— |
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines |
— |
$41,708.03–$48,488.54 |
— |
| Perq device breast 1st imag (19281) |
— |
$29,646.95 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$55,180.45 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$39,568.44 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$23,098.10 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$85,259.44 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$85,259.44 |
— |
Phleb Veins - Extrem 20+ (37766)
range across 4 matching MRF lines |
— |
$25,938.21–$34,449.06 |
— |
| Placement of seton (46020) |
— |
$19,569.51 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$3,310.43 |
— |
| Prescrl Fuse W/ Instr L5/S1 (22586) |
— |
$277,310.90 |
— |
| Prim art mech thrombectomy (37184) |
— |
$96,775.70 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$43,127.24 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$34,773.01 |
— |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
— |
$34,773.01 |
— |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
— |
$34,773.01 |
— |
| Proctosgmdsc rigid w/dilation (45303) |
— |
$56,068.20 |
— |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
— |
$34,773.01 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$42,652.29 |
— |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
— |
$56,068.20 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$101,553.01 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$79,032.06 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$14,471.50 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$191,243.68 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$9,350.36 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$80,455.32 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$53,880.18 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$98,152.97 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$11,842.41 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$37,648.05 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$2,937.06 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$52,483.66 |
— |
| Rad resect hand tumor 3 cm/> (26118) |
— |
$60,590.79 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$60,590.79 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$84,343.91 |
— |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
— |
$32,459.98 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$125,994.63 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$83,860.95 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$83,860.95 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$84,343.91 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
— |
$17,156.27 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
— |
$105,156.73 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
— |
$105,156.73 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$52,290.96 |
— |
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines |
— |
$38,926.66–$40,460.80 |
— |
| Realignment of knee (27455) |
— |
$110,850.26 |
— |
| Reconstruct finger joint (26545) |
— |
$41,133.48 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$281,223.53 |
— |
| Reinforce hip bones (27187) |
— |
$79,369.45 |
— |
| Reinforce tibia (27745) |
— |
$291,448.66 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$76,700.67 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$21,748.59 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$133,049.76 |
— |
| Removal foreign body foot deep (28192) |
— |
$12,182.30 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,632.91 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$87,683.18 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$6,431.87 |
— |
| Removal Implant Deep (20680) |
— |
$29,488.19 |
— |
| Removal of bladder cyst (51500) |
— |
$108,346.42 |
— |
| Removal of heel spur (28119) |
— |
$43,465.64 |
— |
| Removal of kidney stone (50081) |
— |
$39,568.44 |
— |
| Removal of knee prosthesis (27488) |
— |
$67,585.36 |
— |
| Removal of nail bed (11750) |
— |
$27,751.56 |
— |
| Removal of posterior segmental instrumentation Facility (22852) |
— |
$24,267.66 |
— |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
— |
$39,804.37 |
— |
| Removal of tendon for graft (20924) |
— |
$175,666.99 |
— |
| Removal of testis (54520) |
— |
$18,795.54 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$30,465.47 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$72,721.64 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$13,366.79 |
— |
| Removal sweat gland lesion (11450) |
— |
$12,064.38 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$53,056.47 |
— |
| Remove drug implant device (11982) |
— |
$26,917.69 |
— |
| Remove hip pressure sore (15941) |
— |
$105,236.41 |
— |
| Remove hip pressure sore (15940) |
— |
$105,236.41 |
— |
| Remove Intrauterine Device (58301) |
— |
$18,828.29 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$473.90 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$148,486.95 |
— |
| Remove prostate regrowth (52630) |
— |
$17,604.92 |
— |
| Remove sacrum pressure sore (15937) |
— |
$114,194.58 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$4,043.98 |
— |
| Remove spine eltrd plate (63662) |
— |
$35,687.51 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$41,133.48 |
— |
| Remove&replace pm gen singl (33227) |
— |
$44,204.17 |
— |
| Remove/graft foot lesion (28107) |
— |
$52,290.96 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$237,324.70 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$237,324.70 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$237,324.70 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$52,010.97 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$140,655.68 |
— |
| Renal Biopsy Perq (50200) |
— |
$11,650.47 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$56,052.63 |
— |
| Reopen fallopian tube (58350) |
— |
$34,190.84 |
— |
Repair Achilles Tendon (27650)
range across 2 matching MRF lines |
— |
$32,624.19–$40,914.79 |
— |
| Repair blood vessel direct neck (35201) |
— |
$89,862.59 |
— |
| Repair blood vessel lesion (35190) |
— |
$25,134.92 |
— |
| Repair blood vessel with vein graft; neck Facility (35231) |
— |
$89,862.59 |
— |
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines |
— |
$43,462.42–$58,272.09 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$11,824.55 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$14,174.41 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$3,643.05 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$7,140.93 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$41,133.48 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$31,993.16 |
— |
| Repair Hallux Rigidus (28289) |
— |
$22,010.29 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$220,343.08 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$106,023.57 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$106,023.57 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$220,343.08 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$220,343.08 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$9,942.19 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$8,068.15 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$15,770.90 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$3,646 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$8,102.44 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$6,047.66 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$11,327.20 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$4,504.68 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$3,764.86 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$30,740.36 |
— |
| Repair intrinsic muscles hand each muscle (26591) |
— |
$39,679.72 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$92,091.32 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$115,539.99 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$71,674.22 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$71,674.22 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$92,091.32 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$92,091.32 |
— |
| Repair radius & ulna (25415) |
— |
$71,674.22 |
— |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
— |
$87,102.61 |
— |
| Repair recurrent femoral hernia; reducible Facility (49555) |
— |
$124,944.53 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$220,343.08 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$23,094.54 |
— |
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines |
— |
$43,179.68–$48,387.90 |
— |
| Repair umbilical lesion (49600) |
— |
$52,724.28 |
— |
| Repair webbed toe(s) (28345) |
— |
$92,101.78 |
— |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
— |
$89,862.59 |
— |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
— |
$25,134.92 |
— |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
— |
$89,862.59 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$22,089.57 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$220,343.08 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$220,343.08 |
— |
| Replace elbow joint (24363) |
— |
$72,452.66 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$47,056.61 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$220,343.08 |
— |
| Resect back tum < 5 cm (21935) |
— |
$125,994.63 |
— |
| Resect enlarged toe (28341) |
— |
$310,200.49 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$84,343.91 |
— |
| Resect Shoulder Tumor 5 Cm/> (23078) |
— |
$105,156.73 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$105,156.73 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$58,760.17 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$92,719 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$133,762.66 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$133,762.66 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$17,428.76 |
— |
| Revision of foot bones (28737) |
— |
$61,650.09 |
— |
| Revision of humerus (24400) |
— |
$138,954.02 |
— |
Revision of lower leg tendon (27685)
range across 2 matching MRF lines |
— |
$17,386.19–$40,496.87 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$84,775.81 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$88,848.46 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$131,624.74 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$39,503.20 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$23,645.71 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$87,683.18 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$7,604.09 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$20,480.10 |
— |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
— |
$41,133.48 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$5,072.65 |
— |
| Rmvl/revj sling stress incontinence (57287) |
— |
$17,737.10 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$817,666.15 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$817,666.15 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$817,666.15 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$817,666.15 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$817,666.15 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$817,666.15 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,898.68 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$42,282.46 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$27,785.55 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$87,852.36 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$64,529.88 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$47,915.26 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$27,429.89 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$25,134.92 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$50,541.61 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$220,343.08 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$220,343.08 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$220,343.08 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$92,091.32 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$45,971.28 |
— |
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
range across 2 matching MRF lines |
— |
$49,366.62–$63,493.44 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$175,666.99 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$175,666.99 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$175,666.99 |
— |
| Scrotal exploration (55110) |
— |
$34,218.35 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$9,055.28 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$34,773.01 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$56,068.20 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$43,769.21 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$52,388.72 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$42,652.29 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$6,837.22 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$34,773.01 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$760.07 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$760.07 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$50,541.61 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$50,541.61 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$760.07 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$51,434.33 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$51,434.33 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$25,704.96 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$24,510.04 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$83,241.03 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$25,449.53 |
— |
| Small bowel endoscopy (44366) |
— |
$11,031.42 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$760.07 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$51,434.33 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$51,434.33 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$8,521.13 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$22,807.63 |
— |
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines |
— |
$23,121.51–$29,037.64 |
— |
| Strapping ankle (29540) |
— |
$95,419.85 |
— |
| Strapping knee (29530) |
— |
$95,419.85 |
— |
| Strapping shoulder (29240) |
— |
$473.90 |
— |
| Strapping Unna Boot (29580) |
— |
$976.88 |
— |
| Surg tx anal fistula subq (46270) |
— |
$19,655.60 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$49,014.61 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$310,200.49 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$310,200.49 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$12,314.56 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$6,278.04 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$94,293.58 |
— |
| Tendon transfer with graft (26492) |
— |
$41,133.48 |
— |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
— |
$32,857.86 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$19,829.29 |
— |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
— |
$32,857.86 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$32,857.86 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$32,857.86 |
— |
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 3 matching MRF lines |
— |
$20,857.33–$25,696.39 |
— |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
— |
$228,868.06 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$96,409.11 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$96,409.11 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$85,259.44 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$95,815.74 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$98,152.97 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$95,481.85 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$16,191.72 |
— |
| Tooth extraction (41899) |
— |
$20,917.70 |
— |
| Total Knee Arthroplasty (27447) |
— |
$86,843.75 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$286,922.07 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$532,932.43 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$532,932.43 |
— |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
— |
$532,932.43 |
— |
| Tracheostomy planned (31600) |
— |
$532,932.43 |
— |
| Tracheostomy Planned Under 2 Years Spx (31601) |
— |
$532,932.43 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$40,995.58 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$39,984.23 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$45,580.70 |
— |
| Transur electr resection of prostate (52601) |
— |
$22,869.08 |
— |
| Treat ankle dislocation (27848) |
— |
$83,616.90 |
— |
| Treat dislocation/fracture (23670) |
— |
$348,112.68 |
— |
| Treat dislocation/fracture (23680) |
— |
$348,112.68 |
— |
Treat ectopic pregnancy (59151)
range across 3 matching MRF lines |
— |
$30,543.96–$53,564.18 |
— |
| Treat Elbow Fracture (24635) |
— |
$71,674.22 |
— |
| Treat elbow fracture (24587) |
— |
$71,674.22 |
— |
| Treat Finger Fracture Each (26727) |
— |
$12,788.45 |
— |
| Treat fracture radius/ulna (25575) |
— |
$71,674.22 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$47,880.38 |
— |
| Treat knee fracture (27532) |
— |
$23,200.88 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$31,927.09 |
— |
| Treat Kneecap Fracture (27524) |
— |
$42,220.06 |
— |
| Treat lower leg dislocation (27832) |
— |
$110,850.26 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines |
— |
$10,755.38–$12,835.35 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$92,557.53 |
— |
| Treatment of tibia fracture (27756) |
— |
$66,091.78 |
— |
| Trim skin lesion (11055) |
— |
$13,534.25 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$11,481.23 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$7,437.08 |
— |
Trluml Balo Angiop 1St Vein (37248)
range across 3 matching MRF lines |
— |
$54,258.92–$112,209.96 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$28,823.41 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$191,243.68 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$16,111.09 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$92,557.53 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$10,996.85 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$25,440.23 |
— |
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines |
— |
$25,793.06–$48,436.18 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$12,596.83 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$54,361.25 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$291,448.66 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$19,004.92 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$11,692.95 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$35,468.71 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$24,831.31 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$58,400.24 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$49,608.31 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$65,787.45 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$21,029.14 |
— |
| Unlisted procedure colon (45399) |
— |
$66,528.37 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$100,236.28 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$56,732.78 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$348,112.68 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$5,415.73 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$119,899 |
— |
| Unlisted procedure liver (47399) |
— |
$19,004.92 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$286,922.07 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$13,262.88 |
— |
| Unlisted procedure shoulder (23929) |
— |
$53,364.60 |
— |
| Unlisted procedure spine (22899) |
— |
$197,612.42 |
— |
| Unlisted procedure stomach (43999) |
— |
$174,625.87 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$141,075.66 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$28,756.82 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$98,633.04 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$50,469.74 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$74,085.60 |
— |
| Upgrade of pacemaker system (33214) |
— |
$140,655.68 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$56,052.63 |
— |
| Vag hyst complex (58290) |
— |
$38,916.15 |
— |
| Vag hyst incl t/o complex (58291) |
— |
$36,535.60 |
— |
| Vag hyst w/t/o & vag repair (58263) |
— |
$38,183.25 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$19,019.67 |
— |
| Vaginal delivery only (59409) |
— |
$19,020.85 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$50,599.03 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
— |
$47,002.95 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
— |
$36,535.60 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
— |
$38,916.15 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$32,667.54 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$38,689.96 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$198,467.87 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$198,467.87 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$28,341.14 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$96,540.13 |
— |
| Vulvectomy simple partial (56620) |
— |
$15,381.26 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$106,570.22 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$106,570.22 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$95,815.74 |
— |